Chapter 74: How is it better than last time?
Zhang Gu and Ren Su's old classmate met.
A few words of greeting.
A little memory of my college days also comes to mind.
At this time, Bi Hui, the director of the CT room, heard the voice and came out: "Doctor Zhang, do you know Ren Su?"
Bi Hui and Zhang Gu have had little dealings, but now who doesn't know that Zhang Gu is the young man who is most valued by the director of the Department of General Surgery? Moreover, Zhang Gu has just been rated as an advanced worker.
Everyone is willing to have a good relationship with Zhang Gu.
Zhang Gu said with a smile: "Ren Su is my classmate in college, Director Bi takes care of him." ”
Bi Hui laughed and said, "Then I have to take good care of it!"
Ren Su knew that with Zhang Gu's words, he would be able to avoid many detours.
Immediately threw a grateful look at Zhang Gu.
......
After the patient's various examinations are completed.
While Zhang Gu made the surgical plan by himself, he also showed these examination results to Shen Wenting and Xiaomao, so that the two of them could analyze and judge, and give surgical opinions, which could be regarded as a test for the two of them.
Only by experiencing such cases in person is the fastest way for clinicians to grow.
Shen Wenting and Xiao Mao were also very powerful, staying up until three o'clock in the evening, studying this case, and conceiving the surgical plan according to the sleeve gastrectomy data given by Zhang Gu.
After two or three team meetings to run in.
To be precise, after Zhang Gu's slow guidance, the two became more and more upright.
The final surgical plan has finally been determined.
The day of surgery.
In the operating room, Zhang Gu looked calm.
Shen Wenting and Xiao Mao were a little nervous.
Fortunately, the four surgical nurses were able to calm down, and they were all old nurses who had this sleeve gastrectomy with Xiang Jianhua and Zhang Gu last time.
Zhang Gu said: "Shen Wenting is in charge of tracheal intubation, Xiao Mao should pay attention to the pressure of pneumoperitoneum, don't exceed two thousand pa." ”
"Understood. The two looked serious and forced themselves into the state.
Shen Wenting has also done tracheal intubation before, and the problem is not big, and the rules are decent.
After getting off the camera, Zhang Gu adjusted the angle under the mirror and let Shen Wenting support him.
He himself began to free the left diaphragm and the gastroesophageal junction of the diaphragm foot.
Zhang Gu taught while doing the operation: "You two are optimistic, especially Shen Wenting, this step in the future is for you to operate." When the diaphragm foot is free, attention should be paid to fully protect the left diaphragmatic blood vessels and diaphragm. ”
"Xiaomao, you have to be optimistic here, like this patient, there is less abdominal fat, if there are more patients, the deputy also needs to be responsible for pulling the direction of the omentum, and cooperate with the free operation of the main knife. ”
The two of them nodded in unison, knowing that this was Zhang Gu taking the two of them bit by bit.
It seems that with the two toddlers, step by step forward.
The two of them were very touched in their hearts.
Obviously, Zhang Gu can let Donnie Yen be his deputy, so that his operation will be easier and more efficient.
But he is willing to spend more energy on the two of them, slowly bringing the two out.
Such a good teacher, a good senior, where to find wow!
At this time, Xiang Jianhua counted the time and rushed over.
Originally, he was still worried that only Zhang Gu had one familiar hand, plus two new hands, and even a novice, whether he would be able to successfully win the operation.
After watching it for a while, Xiang Jianhua felt a lot more at ease.
"Xiao Zhang's surgical skills are indeed quite solid. ”
"On the one hand, it can ensure the quality of the operation, and on the other hand, it can also explain, give points, and even expand knowledge to the two people. ”
This shows that this surgical technique is far from reaching the limit here in Xiao Zhang. ”
Xiang Jianhua looked at Zhang Gu in his heart and looked at him again.
The difficulty of sleeve gastric bypass surgery is not low, and many doctors are so engrossed that they may not be able to guarantee that there will be no mistakes at all.
Zhang Gu can do both surgery and teaching at the same time.
What's more, Zhang Gu is almost taking Shen Wenting and Mao Junliang through the surgical process.
It is not an exaggeration to say that he is both a father and a mother.
It is enough to prove Zhang Gu's extraordinary ability on the operating table.
Xiang Jianhua is very satisfied, it seems that the decision to arrange Zhang Gu to lead the team independently is very correct.
This kind of outstanding talent should be released as soon as possible to take the lead, instead of sheltering him forever.
"Moreover, how do I think that his surgical skills this time seem to be stronger than the last time he did it with me, is it an illusion?" Xiang Jianhua muttered in his heart.
He didn't know that the last time Zhang Gu had sleeve gastric bypass surgery, it was still at the intermediate level. This time it has been promoted to the advanced level, so it is naturally more comfortable to do, even if you bring two novices, you can take it down without much effort.
In the operating room.
Although the operation time was extended a little accordingly, it was very complete and smooth.
to the final anastomosis.
Xiang Jianhua was completely relieved and left early.
This is Zhang Gu's best part, Shen Wenting and Xiao Mao have reached this point, and they can't keep up with Zhang Gu anymore, and there is only worship left on their faces.
Zhang Gu said: "Shen Wenting, Xiao Mao, after the two of you go down, watch more video playback of my anastomosis technique, and you two have to take this part down." The goal in the future is that you can do a complete operation with just the two of you. ”
The two of them were surprised and delighted.
This shows that Zhang Gu will also lead the two to a higher goal.
The whole operation was successfully completed.
Shen Wenting and Xiao Mao both breathed a sigh of relief.
The clothes under the surgical gown were completely soaked, and the whole person felt like he had been on the battlefield, his energy was overexerted, and he felt very tired.
But personally participating in such a big operation still made the two of them very excited, and for a while, their heads were still full of bits and pieces from the operation just now.
Zhang Gu gave the two of them half a day off and let them take a break. It's not a good thing to do it overnight, and when you're overtired, you still need to let your brain have a buffer.
......
After a sleeve gastric bypass operation, Zhang Gu's team can be regarded as having a preliminary run-in.
Zhang Gu held the first team meeting to summarize experience and review the areas that can be improved bit by bit during the operation. Let Shen Wenting and Xiaomao learn from experience and turn it into a ladder of progress.
Shen Wenting blinked her big eyes, and there was a little more confidence in her eyes: "Brother Zhang, I feel that I am making so fast progress!
Xiao Mao also nodded wildly.
Zhang Gu said: "Who said that the next surgery is still a sleeve gastrectomy?"
"Could it be?" the two of them widened their eyes.
This is just a run-in operation, are you going to contact fundoplication?
Only Lu Tao from the first hospital of the city did fundoplication in the whole original city, which also illustrates the difficulty of this operation from the side.
The technical difficulty of operation is secondary.
The most important thing is that this surgery needs to be pulled according to the fundus condition of each person, which is a great test of the surgeon's personal understanding of this surgery.
All in all, this is a surgery that requires a high degree of adaptability, individualized plan formulation and high technical skills.
Can we really do it?
It's Zhang Gu, the captain of the team, who seems to have only had this operation once, is it really okay?